Aim In our practice, preformed silos are routine rather than reserved for difficult cases. We aimed to identify whether silo and bedside closure can minimize: general anesthetic (GA) exposure, need for intubation and ventilation, or days intubated for neonates with simple gastroschisis (SG).

Methods After approval, patients were identified via the neonatal discharge log (April 2010 to April 2019). Data were collected by case-note review and analyzed with respect to GA, ventilation, and core outcomes.

Results Of 104 patients (50 female, mean birth weight 2.43 kg, mean gestational age 36 + 2 weeks), 85 were SG and 19 complex. Silo application was initial management in 70 SG, 57 completed successful bedside closure (by day 4 of life—median). Fifteen SG had initial operative closure.

Of the 70 SG managed with silo, 46 (66%) had no GA as neonates. Twelve required GA for line insertion. Thirteen patients with initial silo had closure in theater (7 opportunistic at time of GA for line). Nine required intubation and ventilation out-with the operating theater during neonatal management. Seven had already been intubated at delivery; 3 because of meconium aspiration.

One-hundred percent of those treated with operative closure had GA, 1 patient subsequently required surgery for subglottic stenosis. Time to full feeds did not differ between groups.

Conclusion Silo and bedside closure allow the majority of SG neonates to avoid GA or intubation in the neonatal period, without increased risk of complication. However, it is important that the nursing expertise required to manage these patients safely is not underestimated.

目标 在我们的实践中，预制筒仓是例行公事，而不是为困难的情况保留。我们的目的是确定筒仓和床边关闭是否可以最大限度地减少：全身麻醉 (GA) 暴露、插管和通气需求，或为单纯性腹裂 (SG) 新生儿插管的天数。

方法 经批准后，通过新生儿出院日志（2010年4月至2019年4月）确定患者。通过病例记录审查收集数据，并就 GA、通气和核心结果进行分析。

结果 104例患者（50例女性，平均出生体重2.43 kg，平均胎龄36±2周）中，SG 85例，复杂19例。筒仓应用是 70 SG 的初始管理，57 成功完成床边关闭（到生命的第 4 天 - 中位数）。15 SG 进行了初步手术关闭。

在用筒仓管理的 70 名 SG 中，46 名 (66%) 新生儿没有 GA。线插入需要十二个 GA。13 名具有初始筒仓的患者在剧院关闭（7 名机会主义在 GA 时用于生产线）。在新生儿管理期间，九人需要在手术室外进行插管和通气。七人在分娩时已经插管；3 因为胎粪吸入。

接受手术闭合治疗的患者中有 100% 患有 GA，1 名患者随后因声门下狭窄而需要手术。完全喂食的时间在各组之间没有差异。

结论 筒仓和床边关闭使大多数 SG 新生儿在新生儿期避免 GA 或插管，而不会增加并发症的风险。然而，重要的是不能低估安全管理这些患者所需的护理专业知识。